Imaging prices at University Health Truman Medical Center
Kansas City, MO · every code in this section with a posted price and a Medicare benchmark.
299 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$102.30–$102.85 | $186–$187 | varies |
| Abdomen 2 views (74019) | $126.50 | $230 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $531.85 | $967 | 1.3× |
| Angio pulmonary bilat (75743) | $2,962.85 | $5,387 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,330.80 | $6,056 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $3,512.30 | $6,386 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,352.45 | $2,459 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,352.45 | $2,459 | 0.4× |
| Ankle 2 views (73600) | $102.85 | $187 | 1.2× |
| Aortography thoracic serialography rs&i (75605) | $2,962.85 | $5,387 | 0.5× |
| Artery X-Rays Abdomen (75726) | $6,040.10 | $10,982 | 1.1× |
| Artery X-Rays Pelvis (75736) | $2,962.85 | $5,387 | 0.5× |
| Arthrogram ankle (73615) | $525.80 | $956 | 1.5× |
| Arthrogram hip (73525) | $525.80 | $956 | 1.5× |
| Arthrogram Wrist (73115) | $525.80 | $956 | 1.5× |
| Bone age studies (77072) | $178.20 | $324 | 1.7× |
| Bone Imaging 3 Phase (78315) | $570.35 | $1,037 | 1.4× |
| Bone Imaging Limited Area (78300) | $570.35 | $1,037 | 1.4× |
| Bone Imaging Whole Body (78306) | $570.35 | $1,037 | 1.4× |
| Bone marrow imaging; multiple areas (78103) | $568.15 | $1,033 | 1.4× |
| Bone survey infant (77076) | $124.85 | $227 | 1.2× |
| Brain Flow Imaging Only (78610) | $675.40 | $1,228 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $494.45 | $899 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $220.55 | $401 | 2.5× |
| Cerebrospinal Fluid Scan (78630) | $653.40 | $1,188 | 1.2× |
| Chest 1 view (71045) | $102.85 | $187 | 1.2× |
| Chest 2 views (71046) | $102.85 | $187 | 1.2× |
| Clavicle complete (73000) | $102.85 | $187 | 1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $126.50 | $230 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) | $3,012.90 | $5,478 | 1.0× |
| Contrast X-Ray Bladder (74430) | $352 | $640 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $525.80 | $956 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $525.80 | $956 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $703.45 | $1,279 | 2.0× |
| CT abdomen and pelvis without contrast (74176) | $449.35 | $817 | 1.9× |
| CT abdomen w contrast (74160) | $592.90 | $1,078 | 3.4× |
| CT abdomen w wo contrast (74170) | $703.45 | $1,279 | 4.0× |
| CT abdomen w/o contrast (74150) | $449.35 | $817 | 4.3× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$591.25–$592.90 | $1,075–$1,078 | varies |
| CT Angio Chest (71275) | $703.45 | $1,279 | 4.0× |
| CT Angio Head (70496) | $705.65 | $1,283 | 4.0× |
| CT angio hrt w/3d image (75574) | $277.75 | $505 | 0.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $705.65 | $1,283 | 4.0× |
| CT Angio Neck (70498) | $705.65 | $1,283 | 4.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $705.65 | $1,283 | 4.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $295.90 | $538 | 1.7× |
| CT cervical spine w/ contrast (72126) | $592.90 | $1,078 | 1.7× |
| CT cervical spine w/o contrast (72125) | $449.35 | $817 | 4.3× |
| CT cervical spine w/wo cont (72127) | $261.25 | $475 | 1.5× |
| CT chest w contrast (71260) | $592.90 | $1,078 | 3.4× |
| CT chest w/wo contrast (71270) | $703.45 | $1,279 | 4.0× |
| CT head/brain with contrast (70460) | $592.90 | $1,078 | 3.4× |
| CT head/brain without and with contrast (70470) | $703.45 | $1,279 | 4.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $27.50 | $50 | 0.3× |
| CT iac w contrast (70481) | $592.90 | $1,078 | 3.4× |
| CT l-spine w&w/o contrast (72133) | $703.45 | $1,279 | 4.0× |
| CT lower ext w/o (73700) | $449.35 | $817 | 4.3× |
| CT lower extremity w/contrast material (73701) | $592.90 | $1,078 | 3.4× |
| CT lumbar spine w contrast (72132) | $592.90 | $1,078 | 1.7× |
| CT lumbar spine w/o contrast (72131) | $449.35 | $817 | 4.3× |
| CT maxillofacial w contrast (70487) | $592.90 | $1,078 | 3.4× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$149.60–$449.35 | $272–$817 | varies |
| CT neck tissue combo (70492) | $705.65 | $1,283 | 4.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $703.45 | $1,279 | 4.0× |
| CT orbits w/o contrast (70480) | $449.35 | $817 | 4.3× |
| CT pelvis w/o contrast (72192) | $449.35 | $817 | 4.3× |
| CT scan of leg combo (73702) | $703.45 | $1,279 | 4.0× |
| CT scans face/jaw combo (70488) | $703.45 | $1,279 | 4.0× |
| CT soft tissue neck w contrast (70491) | $592.90 | $1,078 | 3.4× |
| CT soft tissue neck w/o contrast (70490) | $449.35 | $817 | 4.3× |
| CT thoracic spine w contrast (72129) | $592.90 | $1,078 | 3.4× |
| CT thoracic spine w/o contrast (72128) | $449.35 | $817 | 4.3× |
| CT thoracic spine w/wo cont (72130) | $703.45 | $1,279 | 4.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$126.50–$449.35 | $230–$817 | varies |
| CT upper ext wo (73200) | $449.35 | $817 | 4.3× |
| CT upper extremity w/o & w/contrast material (73202) | $703.45 | $1,279 | 4.0× |
| CT upper extremity with contrast (73201) | $592.90 | $1,078 | 1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $705.65 | $1,283 | 4.0× |
| Cta Abdomen (74175) | $591.25 | $1,075 | 3.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $590.15 | $1,073 | 1.7× |
| CTA pelvis (72191) | $591.25 | $1,075 | 3.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 3 matching MRF lines |
$223.49–$232.65 | $406.35–$423 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$332.06–$345.40 | $603.75–$628 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $143 | $260 | 1.4× |
| Dxa Bone Density Axial (77080) | $169.95 | $309 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $154.55 | $281 | 1.8× |
| Echo exam of fetal heart (76825) | $612.15 | $1,113 | 1.1× |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$382.80–$402.05 | $696–$731 | varies |
| Echo Guide For Artery Repair (76936) | $298.65 | $543 | 1.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 3 matching MRF lines |
$220.61–$229.35 | $401.10–$417 | varies |
| Esophagram (74220) | $207.90 | $378 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) range across 9 matching MRF lines |
$108.57–$118.80 | $197.40–$216 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 10 matching MRF lines |
$108.57–$126.50 | $197.40–$230 | varies |
| Fluoroscopy up to 1 hr (76000) | $184.25 | $335 | 0.8× |
| Follow-Up Angiography (75898) | $332.20 | $604 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$102.85–$205.15 | $187–$373 | varies |
| Forearm 2 views (73090) | $102.85 | $187 | 1.2× |
| Gastric emptying imaging study (78264) | $531.85 | $967 | 1.3× |
| Gated Heart Planar Single (78472) | $600.60 | $1,092 | 1.5× |
| Hand 2 views (73120) | $102.85 | $187 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,698.75 | $6,725 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $271.15 | $493 | 0.5× |
| Hepatobiliary System Imaging (78226) | $271.15 | $493 | 0.7× |
| Ht Musc Image Planar Mult (78454) | $866.80 | $1,576 | 0.7× |
| Ht Muscle Image Spect Sing (78451) | $1,733.60 | $3,152 | 1.3× |
| Hysterosalpingogram (74740) | $430.10 | $782 | 1.8× |
| K Flow/Funct Image W/Drug (78708) | $587.40 | $1,068 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $497.75 | $905 | 0.9× |
| Knee 3 Views (73562) | $102.85 | $187 | 1.2× |
| Liver & Spleen Imaging Static Only (78215) | $636.90 | $1,158 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $292.05 | $531 | 0.5× |
| Lung perfusion differential (78597) | $187 | $340 | 0.5× |
| Lung Ventilat&Perfus Imaging (78582) | $292.05 | $531 | 0.5× |
| Lymph System Imaging (78195) | $568.15 | $1,033 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $661.65 | $1,203 | 2.8× |
| Mammary ductogram or galactogram multiple (77054) | $229.35 | $417 | 1.0× |
| Meckels Divert Exam (78290) | $531.85 | $967 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,179.75 | $2,145 | 3.4× |
| MRA head w/o contrast (70544) | $825.55 | $1,501 | 3.5× |
| MRA head with contrast (70545) | $891.55 | $1,621 | 2.6× |
| MRA neck w contrast (70548) | $891.55 | $1,621 | 2.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,179.75 | $2,145 | 3.4× |
| MRA neck w/o contrast (70547) | $825.55 | $1,501 | 3.5× |
| MRI abdomen w contrast (74182) | $891.55 | $1,621 | 2.6× |
| MRI abdomen w/o contrast (74181) | $825.55 | $1,501 | 3.5× |
| MRI any jt lower extrem w/contrast material (73722) | $891.55 | $1,621 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,179.75 | $2,145 | 3.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $891.55 | $1,621 | 1.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $825.55 | $1,501 | 3.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $825.55 | $1,501 | 3.5× |
| MRI cardiac w/o contrast (75557) | $308.55 | $561 | 1.3× |
| MRI cervical spine w contrast (72142) | $891.55 | $1,621 | 2.6× |
| MRI cervical spine w/o cont (72141) | $825.55 | $1,501 | 3.5× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$825.55–$1,002.65 | $1,501–$1,823 | varies |
| MRI chest wo w contrast (71552) | $1,179.75 | $2,145 | 3.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $891.55 | $1,621 | 2.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,179.75 | $2,145 | 3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $825.55 | $1,501 | 3.5× |
| MRI lumbar spine w contrast (72149) | $891.55 | $1,621 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,179.75 | $2,145 | 3.4× |
| MRI orbit face &/neck w/o contrast (70540) | $825.55 | $1,501 | 3.5× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$891–$1,179.75 | $1,620–$2,145 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,179.75 | $2,145 | 3.4× |
| MRI pelvis w/o & w contrast (72197) | $1,179.75 | $2,145 | 3.4× |
| MRI pelvis w/o contrast (72195) | $825.55 | $1,501 | 3.5× |
| MRI spectroscopy (76390) | $595.10 | $1,082 | 6.8× |
| MRI thoracic spine w/o contrast (72146) | $825.55 | $1,501 | 3.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $891.55 | $1,621 | 2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $825.55 | $1,501 | 3.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,179.75 | $2,145 | 3.4× |
| MRI, abdomen, combo (74183) | $1,179.75 | $2,145 | 3.4× |
| MRI, dorsal spine combo (72157) | $1,179.75 | $2,145 | 3.4× |
| MRI, dorsal spine contrast (72147) | $891.55 | $1,621 | 2.6× |
| MRI, joint upper extrem (73221) | $825.55 | $1,501 | 3.5× |
| MRI, joint upper extrem combo (73223) | $1,179.75 | $2,145 | 3.4× |
| MRI, lumbar spine combo (72158) | $1,179.75 | $2,145 | 3.4× |
| Myelogram cervical (72240) | $363.55 | $661 | 0.5× |
| Myelogram Lumbar (72265) | $363.55 | $661 | 0.5× |
| Myelography thoracic (72255) | $363.55 | $661 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $363.55 | $661 | 0.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $600.05 | $1,091 | 1.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $866.80 | $1,576 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $1,456.95 | $2,649 | 1.1× |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$121–$1,210 | $220–$2,200 | varies |
| Neck soft tissue (70360) | $102.85 | $187 | 1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $315.15 | $573 | 0.8× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$304.15–$630.30 | $553–$1,146 | varies |
| Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines |
$66–$118.80 | $120–$216 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$107.42–$117.15 | $195.30–$213 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 7 matching MRF lines |
$111.10–$213.95 | $202–$389 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$54.86–$57.20 | $99.75–$104 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$106.84–$111.10 | $194.25–$202 | varies |
| Panoramic X-ray of jaws (70355) range across 3 matching MRF lines |
$104.50–$149.60 | $190–$272 | varies |
| Parathyroid Planar Imaging (78070) | $394.90 | $718 | 1.0× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$102.85–$126.50 | $187–$230 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,301.75 | $4,185 | 1.6× |
| PET image w/CT, full body (78816) | $3,203.20 | $5,824 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,203.20 | $5,824 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $462.55 | $841 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $178.20 | $324 | 1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$246.40–$612.15 | $448–$1,113 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $102.85 | $187 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $102.85 | $187 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $102.85 | $187 | 1.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $102.85 | $187 | 1.0× |
| Radex fingr minimum 2 views (73140) | $102.85 | $187 | 1.2× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$102.85–$205.15 | $187–$373 | varies |
| Radex Hand Minimum 3 Views (73130) | $102.85 | $187 | 1.2× |
| Radex lower extremity infant minimum 2 views (73592) | $139.15 | $253 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $102.85 | $187 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $102.85 | $187 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) | $102.85 | $187 | 1.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $102.85 | $187 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $102.85 | $187 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $102.85 | $187 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $102.85 | $187 | 1.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$102.85–$891.55 | $187–$1,621 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $169.40 | $308 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $102.85 | $187 | 1.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $140.80 | $256 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $102.85 | $187 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $321.75 | $585 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $207.90 | $378 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $118.80 | $216 | 1.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $102.85 | $187 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $207.90 | $378 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $207.90 | $378 | 1.2× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $48.95 | $89 | 0.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $207.90 | $378 | 1.2× |
| Radiologic examination femur 1 view (73551) | $74.25 | $135 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) | $98.45 | $179 | 1.1× |
| Radiologic examination knee 1/2 views (73560) | $102.85 | $187 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $102.85 | $187 | 1.2× |
| Renal Cyst Study (74470) | $246.40 | $448 | 0.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $580.25 | $1,055 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $579.70 | $1,054 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $579.70 | $1,054 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,456.95 | $2,649 | 2.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,734.15 | $3,153 | 1.3× |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$304.15–$750.75 | $553–$1,365 | varies |
| Scapula (73010) | $102.85 | $187 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $66 | $120 | 2.8× |
| Sella turcica (70240) | $102.85 | $187 | 1.2× |
| Shoulder 1 view (73020) | $102.85 | $187 | 1.2× |
| Shoulder Arthrography (73040) | $525.80 | $956 | 1.5× |
| Skull less than 4 views (70250) | $102.85 | $187 | 1.0× |
| Sternoclavicular joints (71130) | $102.85 | $187 | 1.2× |
| Thoracic spine 2 views (72070) | $102.85 | $187 | 1.0× |
| Thoracic spine 3 views (72072) | $126.50 | $230 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $183.70 | $334 | 0.5× |
| Thyroid Met Imaging Body (78018) | $580.25 | $1,055 | 1.1× |
| Thyroid Uptake Measurement (78012) | $139.70 | $254 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $448.80 | $816 | 1.1× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$152.90–$306.35 | $278–$557 | varies |
| Ultrasound Exam Aaa Screen (76706) | $144.65 | $263 | 1.4× |
| Ultrasound, abdomen limited (76705) | $144.65 | $263 | 1.4× |
| Umbilical-artery Doppler (OB) (76820) range across 5 matching MRF lines |
$243.65–$243.71 | $443–$443.10 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $29.15 | $53 | 0.3× |
| Unlisted us procedure (76999) | $106.15 | $193 | 1.2× |
| Upper gi w/o kub (74240) | $207.90 | $378 | 1.2× |
| Urethrocystogram voiding (74455) | $352 | $640 | 1.5× |
| Urethrocystography retrograde (74450) | $352 | $640 | 1.5× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$149.60–$299.20 | $272–$544 | varies |
| Us chest (76604) | $144.65 | $263 | 1.4× |
| Us complete joint (76881) range across 3 matching MRF lines |
$227.15–$245.44 | $413–$446.25 | varies |
| Us exam, pelvic, limited (76857) range across 10 matching MRF lines |
$144.65–$157.08 | $263–$285.60 | varies |
| Us kidney transplant (76776) | $135.30 | $246 | 1.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $144.65 | $263 | 1.4× |
| Us ob detailed single fetus (76811) range across 4 matching MRF lines |
$401.94–$402.05 | $730.80–$731 | varies |
| Us ob limited 1 or more fetuses (76815) range across 10 matching MRF lines |
$144.65–$161.70 | $263–$294 | varies |
| Us ob transvaginal (76817) range across 8 matching MRF lines |
$149.60–$161.70 | $272–$294 | varies |
| Us pelvic non ob complete (76856) range across 7 matching MRF lines |
$255.20–$255.26 | $464–$464.10 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 8 matching MRF lines |
$155.10–$243.10 | $282–$442 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $149.60 | $272 | 1.4× |
| Us retroperitoneal complete (76770) | $227.15 | $413 | 2.2× |
| Us retroperitoneal limited (76775) | $144.65 | $263 | 1.4× |
| Us scrotum and contents (76870) | $227.15 | $413 | 2.2× |
| Us spinal canal and contents (76800) | $227.15 | $413 | 2.2× |
| Us thyroid (76536) | $227.15 | $413 | 2.2× |
| Us transrectal (76872) | $227.15 | $413 | 2.2× |
| Vein X-Ray Chest (75827) | $1,352.45 | $2,459 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $3,512.30 | $6,386 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,733.60 | $3,152 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,733.60 | $3,152 | 1.1× |
| Wrist 2 views (73100) | $102.85 | $187 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $102.85 | $187 | 1.2× |
| X-ray antegrade pyelogram tube (74425) | $352 | $640 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,998.60 | $5,452 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $178.20 | $324 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $102.85 | $187 | 1.2× |
| X-Ray Exam Breast Specimen (76098) | $612.15 | $1,113 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $73.70 | $134 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $122.10 | $222 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $139.15 | $253 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $74.25 | $135 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$74.25–$107.25 | $135–$195 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $122.65 | $223 | 1.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$144.65–$178.20 | $263–$324 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $102.85 | $187 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $178.20 | $324 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $102.85 | $187 | 1.0× |
| X-ray head for orthodontia (70350) | $98.45 | $179 | 1.1× |
| X-ray humerus (73060) | $102.85 | $187 | 1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $102.85 | $187 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $102.85 | $187 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $126.50 | $230 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $178.20 | $324 | 1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $102.85 | $187 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $102.85 | $187 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $102.85 | $187 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $178.20 | $324 | 1.7× |
| X-Ray Tmj Unilat (70328) | $102.85 | $187 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $352 | $640 | 1.0× |
| X-Rays Bone Length Studies (77073) | $118.80 | $216 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $138.05 | $251 | 1.3× |
| Xr c-spine 4 or 5 views (72050) | $178.20 | $324 | 1.7× |
| Xr facial bones less than 3 views (70140) | $102.85 | $187 | 1.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $102.85 | $187 | 1.0× |
| Xr orbits complete 4 views (70200) | $102.85 | $187 | 1.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.